Carl Michael Kerckhoff in Orange - Clinical
Carl Michael Kerckhoff - NPI 1124109442
Carl Michael Kerckhoff is a Clinical in Orange, California. Carl Michael Kerckhoff practices all healthcare services and medical treatments related to Clinical. The NPI Number for Carl Michael Kerckhoff is 1124109442. The last update date is 2019-03-20.
Carl Michael Kerckhoff's current location address is Po Box 12371, Orange, California. You can contact this provider via phone number 9494128818. The mailing address for Carl Michael Kerckhoff is Po Box 12371, Orange, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Michael Kerckhoff |
|---|---|
| Address | Po Box 12371, Orange, California |
| Phone Number | 9494128818 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1124109442 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2019-03-20 |
Provider Mailing Address Detail
| Address | Po Box 12371 |
|---|---|
| City | Orange |
| State | California (CA) |
| Post Code | 928598371 |
| Phone Number | 9494128818 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PSY 17976 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PSY17976 | CA | PSYCHOLOGIST LICENSE |
Post Comment/ Review Below
What is the Carl Michael Kerckhoff's 1124109442?
The Carl Michael Kerckhoff's NPI (National Provider Identifier) Number is 1124109442. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Carl Michael Kerckhoff is located?
The Carl Michael Kerckhoff is situated at the following address: Po Box 12371, Orange, CA, 928598371.
What is Carl Michael Kerckhoff's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Carl Michael Kerckhoff is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Carl Michael Kerckhoff receive its 1124109442 assignment from the Centers for Medicare & Medicaid Services?
The Carl Michael Kerckhoff was assigned its 1124109442 by the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date was the information regarding Carl Michael Kerckhoff, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Carl Michael Kerckhoff, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-03-20.
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